LARIS OLIVIA DAVENPORT

SAN DIEGO, CA
NPI1922699685
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: CA  NA95002421)
Additional Taxonomies163W00000X Registered Nurse
(Licence: PA  710866)
367500000X Nurse Anesthetist, Certified Registered
(Licence: PA  147782)
Enumeration Date2021-01-26
Last Update Date2024-08-27
Business Address
Miss LARIS OLIVIA DAVENPORT RN
200 W ARBOR DR
SAN DIEGO, CA 92103-9000
Phone number: 800-926-8273
Mailing Address
Miss LARIS OLIVIA DAVENPORT RN
FILE 57326
LOS ANGELES, CA 90074-7326
Phone number: 858-249-6748